﻿<div class="single_top">
    <div class="container">
        <div class="alert alert-warning" ng-show="warning">
            <button type="button" class="close" ng-click="close()" aria-hidden="true">&times;</button>
            <ul ng-repeat="msg in warning">
                <li class="glyphicon glyphicon-warning-sign">{{msg.msg}}</li>
            </ul>
        </div>
        <div class="alert alert-danger" ng-show="error">
            <button type="button" class="close" ng-click="close()" aria-hidden="true">&times;</button>
            <span class="glyphicon glyphicon-ban-circle"></span>
            <span>{{error}}</span>
        </div>

        <div class="alert alert-info" ng-show="info">
            <button type="button" class="close" ng-click="close()" aria-hidden="true">&times;</button>
            <span class="glyphicon glyphicon-info-sign"></span>
            <span>{{info}}</span>
        </div>

        <div class="col-md-6 contact_form">
            <h4>LOGIN INFORMATION</h4>
            <div class="input-field">
                <input id="register_name" type="text" name="register-name" ng-model="data.Name">
                <label for="register_name">Name*</label>
            </div>
            <div class="input-field">
                <input id="register_phone" type="text" name="register-phone" ng-model="data.Handphone">
                <label for="register_phone">Handphone Number*</label>
            </div>
            <div class="input-field">
                <input id="register_email" type="email" name="register-email" ng-model="data.Email">
                <label for="register_email">Email Address*</label>
            </div>
            <div class="input-field">
                <input id="register_pass" type="password" name="register-pass" ng-model="data.Password">
                <label for="register_pass">Password*</label>
            </div>
            <div class="input-field">
                <input id="register_pass_confirm" type="password" name="register-pass-confirm" ng-model="data.ConfirmedPassword">
                <label for="register_pass_confirm">Confirm Password*</label>
            </div>
            <button class="btn waves-effect waves-light subscribe-submit" ng-click="save()">Submit</button>
            <!--<form>
                <div class="register-top-grid">
                    <h4>LOGIN INFORMATION</h4>
                    
                    <div>
                        <span>Name<label>*</label></span>
                        <input type="text" ng-model="data.Name">
                    </div>
                    <div>
                        <span>Handphone Number<label>*</label></span>
                        <input type="text" ng-model="data.Handphone">
                    </div>
                    <div>
                        <span>Email Address<label>*</label></span>
                        <input type="text" ng-model="data.Email">
                    </div>
                    <div class="clearfix"> </div>
                    <a class="news-letter" href="#">
                        <label class="checkbox"><input type="checkbox" name="checkbox" checked=""><i> </i>Sign Up for Newsletter</label>
                    </a>
                </div>
                <div class="register-bottom-grid">
                    <h3>LOGIN INFORMATION</h3>
                    
                    <div>
                        <span>Password<label>*</label></span>
                        <input type="password" ng-model="data.Password">
                    </div>
                    <div>
                        <span>Confirm Password<label>*</label></span>
                        <input type="password" ng-model="data.ConfirmedPassword"> 
                    </div>
                    <div class="clearfix"> </div>
                </div>
            </form>
            <div class="clearfix"> </div>
            <div class="register-but">
                <form>
                    <input type="submit" value="submit" ng-click="save()">
                    <div class="clearfix"> </div>
                </form>
            </div>-->
        </div>
    </div>
</div> 